A 66-year-old woman comes for a Medicare wellness visit. She is postmenopausal, walks daily, and has no prior fractures. She does not smoke and has

Question

A 66-year-old woman comes for a Medicare wellness visit. She is postmenopausal, walks daily, and has no prior fractures. She does not smoke and has no glucocorticoid use. BMI is 25 kg/m2. She has not had bone density testing. Which of the following is the most appropriate screening recommendation?

Accepted Answer

Order dual-energy x-ray absorptiometry

Answer

Start bisphosphonate without testing

Answer

Order bone scan

Answer

Check serum calcium annually

Answer

Screen after a fragility fracture occurs

Osteoporosis screening — USMLE Step 3 MCQ

A 66-year-old woman comes for a Medicare wellness visit. She is postmenopausal, walks daily, and has no prior fractures. She does not smoke and has no glucocorticoid use. BMI is 25 kg/m2. She has not had bone density testing. Which of the following is the most appropriate screening recommendation?